| Organization Name: | NORTHWEST TRI-COUNTY INTERMEDIATE UNIT # 5 |
| NPI Number: | 1548495005 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK C. JOHNSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 252 Waterford Street Edinboro |
| State: | PA US |
| Postal Code: | 164122315 |
| Phone Number: | 8147345610 |
| Fax Number: | 8147345806 |
| NPI Enumeration Date: | 05/27/2009 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |